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AzTrials

InfertilityNCT04496284

Embryo Transfer Outcomes After Vitrification With Slush Nitrogen Compared to Liquid Nitrogen

A study testing Vitrification via slush nitrogen in people with Infertility, run by Reproductive Medicine Associates of New Jersey at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The proposed study is a single-blind randomized controlled trial which seeks to characterize implantation rates following embryo vitrification and subsequent warming with both slush nitrogen and liquid nitrogen. After warming, implantation rates and pregnancy outcomes will be assessed. Read more about this study

Who is it for?
Ages 18 to 42 years, women only
Conditions the study is for
Infertility
What is being tested?
Vitrification via slush nitrogen
Could I receive a placebo?
No, everyone receives an active treatment
How many people
253 participants
Where
1 siteUnited States
Study dates
5 Sep 2020to 20 Dec 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 42 years
  • Women only
  • No healthy volunteers
  • Adult

Major Inclusion Criteria for participants:

  1. Patients undergoing IVF stimulation cycle with plan for subsequent frozen embryo transfer (FET)
  2. Patients electing preimplantation genetic testing for aneuploidy (PGT-A)
  3. Couples electing single embryo transfer (SET)

Major Exclusion Criteria for participants:

  1. All patients who do not voluntarily give their written consent for participation
  2. Under 18 years old, above 42 years old
  3. BMI > 35
  4. Maximum day 3 Follicle stimulating hormone (FSH) level of 12 or higher
  5. Anti-mullerian hormone (AMH) level less than 1.0 g/mL, tested within previous year
  6. Total basal antral follicle count less than 6 follicles
  7. Failed more than one previous FET cycle
  8. Use of oocyte donation
  9. Use of gestational carrier
  10. Presence of hydrosalpinges that communicate with endometrial cavity
  11. Diagnosis of endometrial insufficiency: prior cycle with maximal endometrial thickness ≤ 6mm, abnormal endometrial pattern (failure to attain a trilaminar appearance), persistent endometrial fluid
  12. Uncorrected uterine factor infertility (uterine anomaly, submucosal myomas, uterine septum)
  13. Single gene disorder chromosomal rearrangement requiring a more detailed embryonic genetic analysis
  14. Male partner with <100,000 total motile spermatozoa per ejaculate (donor sperm is acceptable)
  15. Use of surgical procedures to obtain sperm
  16. Couples undergoing IVF for fertility preservation with no immediate plan for subsequent FET (embryo banking)
  17. Sex selection
  18. Personal history of repeated pregnancy loss (two or more unexplained clinical losses defined by presence of fetal heartbeat)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Reproductive Medicine Assoicates of New Jersey

    Basking Ridge, New Jersey, 07920

Other trials in United States

About this study

The proposed study is a single-blind randomized controlled trial which seeks to characterize implantation rates following embryo vitrification and subsequent warming with both slush nitrogen and liquid nitrogen. After warming, implantation rates and pregnancy outcomes will be assessed.

Read the detailed description

The purpose of this study is to determine if slush nitrogen for embryo vitrification results in higher sustained implantation rates compared to the conventional use of liquid nitrogen. Routine ovarian stimulation, oocyte retrieval and embryology care will ensue. All blastocyst stage embryos will be randomized to either the control (liquid nitrogen) or intervention group (slush nitrogen) and vitrified after trophectoderm biopsy has been performed for PGT-A (preimplantation genetic testing for aneuploidy). A single, chromosomally normal embryo will be transferred in a subsequent frozen embryo transfer cycle per routine. Implantation rates and pregnancy outcomes will be assessed.

Conditions
Infertility
Being tested
Vitrification via slush nitrogen
Medical subject headings
Infertility

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Vitrification via slush nitrogenOther

    blastocyst stage embryos will be vitrified via slush nitrogen

Study groups in NCT04496284
Study groupRoleWhat they receive
Vitrification via slush nitrogenExperimentalBlastocyst stage embryos will be vitrified via slush nitrogen
Receives: Other: Vitrification via slush nitrogen
Vitrification via liquid nitrogenNo interventionBlastocyst stage embryos will be vitrified via conventional liquid nitrogen. This is the current standard of care.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. sustained implantation rate

    fetal heart beat present upon discharge at 8 weeks

    Measured: approximately 8 weeks gestation age

Secondary outcomes (3)
  1. clinical pregnancy rate

    presence of gestational sac in uterus

    Measured: usually by 5 weeks gestational age

  2. miscarriage rate

    pregnancy loss

    Measured: 1-8 months dependent on gestational age of loss

  3. live birth rate

    delivery of live infant

    Measured: 9 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Aug 2020
  2. Study start5 Sep 2020
  3. Primary completion3 May 2022
  4. Study completion20 Dec 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
253 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04496284
Sponsor's protocol ID
RMA-2020-03
Status last verified
May 2023
First submitted
28 Jul 2020
Last updated
3 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Klimczak AM, Osman E, Esbert M, Yildirim RM, Whitehead C, Herlihy NS, Hanson BM, Roberts LM, Seli E, Scott RT Jr. A randomized controlled trial comparing embryo vitrification with slush nitrogen to liquid nitrogen in women undergoing frozen embryo transfer: embryology and clinical outcomes. Hum Reprod. 2025 Mar 1;40(3):426-433. doi: 10.1093/humrep/deaf003.

    PubMed 39836897

Questions about this trial

What is this clinical trial studying?

A study testing Vitrification via slush nitrogen in people with Infertility, run by Reproductive Medicine Associates of New Jersey at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

sustained implantation rate (time frame: approximately 8 weeks gestation age). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04496284, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2023.

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